| NPI | 1487907788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL012931) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202006725) |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2023-01-26 |